Rental ApplicationSirius Realty

Rental Application

Rental Application Packet

The following pages contain the forms to convey rental and credit history. A letter will be sent to your current or previous property management firm, and a form letter will be sent to your current employer for verification.

Each application requires a $35 non-refundable credit/criminal background check fee.

Applications will not be processed until fees are received. The funds need to be in certified check or money order made out to Sirius Realty. Personal checks are not accepted.

Please note that there is no guarantee your application will be approved and that there may be multiple applicants for the same property.

All applications will be accepted until property is rented.

Application approval and tenant selection is at the sole discretion of the property manager and/or landlord and is not necessarily based on order of application, work history, income or credit score.

Equal Housing Opportunity Statement: We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the Nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status, or national origin.

Approval of application does not reserve property for the applicant. After approval, property will be considered rented when lease is signed and security deposit, in the form of money order or certified check, is paid. Until then applications will still be accepted.

The undersigned has read and agreed to the above terms of application.

All Sirius Realty properties are non-smoking. Any pets require prior approval. The chaining and tethering of dogs is not allowed.

Printed Name(s):
Signed Name(s):
Date ____________________

Please fill out the following application completely for consideration.

Page 2

Rental and Credit Application

Property address:
Agent:
Date: ________

APPLICANT #1
Name: First______________Middle____________Last________________ SSN : _________________
Date of Birth / / Drivers License #:______________
Phone #: ________________ Email Address: __________________

CURRENT RESIDENCE
Current rent amount: _______
Current Address: _____________________________________________
City: _________________
State: ______ Zip: _______ How Long ? ___ Years ____Months Rent/Own: _____________
If rent, Landlord’s Name: ______________________________ Phone#: _________________
If less than two full years, list your previous address:
Previous Address: ____________________________________________
City: _________________
State: ______ Zip: _______ How Long ? _____Years____Months Rent/Own: _____________
Number of Occupants living in home ________ Pets: Yes/ No Smoker: Yes/ No
If yes, please describe pet type, size, and age __________________________________________
________________________________________________________________________________

EMPLOYMENT
Employer ______________________________________
Phone: _________________
Address: _______________________________ City: ___________ State: _____ Zip: ______
Supervisor: ______________________ Salary _____________ Weekly/Bi-weekly/Monthly
How long have you been at current job _____________Years___________Months
What is your previous employment ____________________________

Page 3
APPLICANT #2
Name: First___________Middle___________Last_______________
SSN : _________________
Date of Birth / / Drivers License #:______________
Phone #: _________ Email Address: _______________________
Has either applicant ever been evicted? Yes/ No

CURRENT RESIDENCE
Current rent amount: _______
Current Address: _____________________________________________
City: _________________
State: ______ Zip: _______ How Long ? __________
Rent/Own: _____________
If rent, Landlord’s Name: ___________________________________
Phone#: _________________
If less than two full years, list your previous address:
Previous Address: ____________________________________________
City: _________________
State: ______ Zip: _______ How Long ? __________
Rent/Own: _____________
Number of Occupants living in home ________ Pets: Yes/ No Smoker: Yes/ No
If yes, please describe pet type, size, and age __________________________________________
________________________________________________________________________________

EMPLOYMENT
Employer ______________________________________ Phone: _________________
Address: _______________________________ City: ___________ State: _____ Zip: ______
Supervisor: ______________________ Salary _____________ Weekly/Bi-weekly/Monthly
How long have you been at current job ___________Years______________Months
What is your previous employment ____________________________

APPLICATION CANNOT BE PROCESSED UNTIL ALL INFORMATION REQUESTED IS OBTAINED

Page 4

PLEASE PROVIDE A COPY OF YOUR LAST 2 PAYSTUBS
DRIVERS LICENSE/STATE ID

I/We hereby authorize Sirius Realty, including employees of Sirius Realty, agents and brokers, or owners/landlords to pull a credit report on me/us. I/we understand the information on the credit report cannot be revealed to me/us. The cost of the credit report/background check is $35.00 per social security number and is non-refundable regardless of acceptance of the property rental.

Signature:____________________________________________ Date: _____________
Signature:____________________________________________ Date: _____________

Please provide any additional information to the owner/property manager you would like to include:

The following page will be sent to your current/previous landlords.

Page 5
To:
From: Sirius Realty
We need to verify past rental history on the following people:
Name: __________________________________________________________________
Current Address: ______________________________________________________________
Telephone#: _________________________________ Fax#: _______________________
Social Security #: _________________________________
Dates of Lease: Beginning Date ________________ Ending Date ___________________
Number of times late: __________
Condition of Property: ______________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Eligible to rent again? Yes / No
Thank you for your cooperation,
Sirius Realty
I hereby authorize Sirius Property Management to verify the above information to Sirius Realty.
_______________________________________ _________________________________________
Applicant Signature Print Name
Sirius Realty
5699 Getwell Road, G-1
Southaven, Ms 38672
Office 662-253-8463 Fax 662-253-8463


Page 6

To: Human Resources
From: Sirius Realty
Please verify employment for the following people who are requesting a lease with Sirius Realty.
I hereby authorize my employer to verify the following information to Sirius Realty.
_______________________________________ _________________________________________
Applicant Signature Print Name
Address: ____________________________________________________________________
Social Security #: ________________________________________
Employment Company Name: ________________________________________________
Contact Person: ___________________________________________________________
Telephone #: ________________________________ Fax#: _________________________
Date of Hire: ______________________________
Date of Termination: ______________________________
Verified by: _____________________________ Date: _______________________
Secondary Employment (if any) : __________________________________
Date of Hire: ______________________________
Date of Termination: ______________________________
Contact Person: _________________________________ Telephone #: ________________

Thank you for your cooperation,
Sirius Realty
5699 Getwell Road, G-1
Southaven, Ms 38672
Office 662-253-8463 Fax 662-253-8463